Skip to main content

Surgical Resection for Postcricoid Carcinoma

  • Chapter
Management of Oesophageal Carcinoma
  • 66 Accesses

Abstract

The hypopharynx is generally accepted as extending from the free margin of the epiglottis to the lower border of the cricoid cartilage. A horizontal line drawn at the level of the hyoid bone marks the superior border, whilst in the adult the lower border of the cricoid cartilage lies approximately at the sixth cervical vertebra. The cervical oesophagus extends from this point to the thoracic inlet and varies in length depending upon the position of the larynx. Whilst the lumen of the hypopharynx is cone-shaped superiorly, it becomes more narrow in the postcricoid region extending into the oesophagus, which from an oncological viewpoint is merely an extension of the hypopharynx.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Allison PR (1959) Postcricoid carcinoma. Proc R Soc Med 52:176

    PubMed  CAS  Google Scholar 

  • Ariyan S (1979) The pectoralis major myocutaneous flap: a versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 63:73–81

    Article  PubMed  CAS  Google Scholar 

  • Bakamjian VY (1965) A two-stage method for pharyngoesophageal reconstruction with a primary pectoral skin flap. Plast Reconstr Surg 36:173–184

    Article  PubMed  CAS  Google Scholar 

  • Bircher E (1907) Ein Beitrag zur plastischen bilding eines neuen osophagus. Zentralbl Chir 34:1479–1482

    Google Scholar 

  • Brown-Kelly A (1919) Spasm at the entrance of the oesophagus. J Laryngol 34:285–289

    Google Scholar 

  • Bryce DP (1967) Pharyngectomy in the treatment of carcinoma of the hypopharynx. In: Conley J (ed) Cancer of the head and neck. Butterworths, Washington DC, pp 341–346

    Google Scholar 

  • Buchanan G, West TET, Woodhead JS (1975) Hypoparathyroidism following pharyngolaryngoeso-phagectomy. Clin Oncol 1:89–95

    PubMed  CAS  Google Scholar 

  • Czerney F (1877) Neue Operationen. Zentralbl Chir 4:433–434

    Google Scholar 

  • Depage A (1903) Nouvelle methode de gastrostomie. Presse Méd 19:755–759 (abstract)

    Google Scholar 

  • DeSanto LW, Carpenter RS (1980) Reconstruction of the pharynx and upper esophagus after resection for cancer. Head Neck Surg 2:369–379

    Article  PubMed  CAS  Google Scholar 

  • Eastcott HNG (1964) Colonic reconstruction of the pharynx. Lancet 11:1182–1187

    Article  Google Scholar 

  • Eggers C (1925) Removal of carcinoma of lower oesophagus: recovery. Carcinoma of the upper oesophagus and pharynx. Ann Surg 81:693–698

    Article  Google Scholar 

  • Farrington WT, Weighill JS, Jones PH (1986) Postcricoid carcinoma (a ten-year retrospective study). J Laryngol 100:70–84

    Google Scholar 

  • Fee WE (1984) Hypopharyngeal reconstruction. Arch Otolaryngol 110:384–385

    Article  PubMed  Google Scholar 

  • Freeman JL, Shaw HJ, Noyek AM, Goldberg M (1982) Parathyroid gland transplantation after total thyroidectomy with pharyngolaryngoesophagectomy. Head Neck Surg 6:610–612

    Article  Google Scholar 

  • Gluckman JL, McDonough S, Donegan JO (1982) The role of free jejunal graft in reconstruction of the pharynx and cervical oesophagus. Head Neck Surg 4:360–369

    Article  PubMed  CAS  Google Scholar 

  • Gluckman J, McCafferty GJ, Black R, Coman WB (1985) Complications associated with free jejunal graft reconstruction of the pharyngoesophagus—a multi institutional experience with 52 cases. Head Neck Surg 7:200–205

    Article  PubMed  CAS  Google Scholar 

  • Goligher JC, Robin IG (1954) Use of left colon for reconstruction of pharynx and oesophagus after pharyngolaryngectomy. Br J Surg 42:283–290

    Article  PubMed  CAS  Google Scholar 

  • Grange TB, Quick CA (1978) Use of revascularized ileocolic autografts for primary repair after pharyngolaryngoesophagectomy. Am J Surg 136:477–485

    Article  Google Scholar 

  • Griffiths JD, Shaw HS (1973) Cancer of the laryngopharynx and cervical oesophagus. Arch Otolaryngol 97:340–346

    Article  PubMed  CAS  Google Scholar 

  • Harrison DFN (1964) The use of colonic transplants and revascularized jejunal autografts for primary repair after pharyngolaryngectomy. Proc R Soc Med 57:30–34

    Google Scholar 

  • Harrison DFN (1970) Pathology of hypopharyngeal cancer in relation to surgical management. J Laryngol 84:349–367

    CAS  Google Scholar 

  • Harrison DFN (1973) Thyroid gland in the management of laryngopharyngeal cancer. Arch Otolaryngol 97:301–302

    Article  PubMed  CAS  Google Scholar 

  • Harrison DFN (1977) Resection of the manubrium. Br J Surg 64:374–377

    Article  PubMed  CAS  Google Scholar 

  • Harrison DFN (1978) Rehabilitation problems after pharyngogastric anastomosis. Arch Otolaryngol 104:244–246

    Article  PubMed  CAS  Google Scholar 

  • Harrison DFN (1979) Surgical management of hypopharyngeal cancer. Arch Otolaryngol 105:149–152

    Article  PubMed  CAS  Google Scholar 

  • Harrison DFN, Thompson AE (1986) Pharyngolaryngoesophagectomy with pharyngogastric anastomosis for cancer of the hypopharynx: review of 101 operations. Head Neck Surg 8:418–428

    Article  PubMed  CAS  Google Scholar 

  • Heimlich HJ (1966) Elective replacement of the oesophagus. Br J Surg 53:913–916

    Article  PubMed  CAS  Google Scholar 

  • Howard D, Lund VJ (1984) Skin grafting of the anterior stomach wall following pharyngogastric anastomosis. J Laryngol 99:273–276

    Google Scholar 

  • Hueston JT, McConchie IH (1968) A compound pectoral flap. Aust NZ J Surg 36:61–64

    Google Scholar 

  • Innis AS, Windle-Taylor PC, Harrison DFN (1980) The role of metronidazole in the prevention of fistulae following total laryngectomy. Clin Oncol 6:71–77

    Google Scholar 

  • Jacobs A (1961) Anaemia and postcricoid carcinoma. Br J Cancer 15: 736–744

    Article  PubMed  CAS  Google Scholar 

  • Kelling G (1911) Esophagoplastic et de ses diverses modifications. Semin Méd 31:529–531

    Google Scholar 

  • Krespi YP, Sisson GA, Wurster CF (1984) Voice preservation in postcricoid and cervical esophageal cancer. Arch Otolaryngol 110:323–326

    Article  PubMed  CAS  Google Scholar 

  • Lam KH, Wong J, Ong GB (1981) Pharyngogastric anastomosis following pharyngolaryngoesophagectomy. Analysis of 157 cases. World J Surg 5:509–516

    Article  PubMed  CAS  Google Scholar 

  • Larsson LG, Sandstrom A, Westling P (1975) Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden. Cancer Res 35:3308–3314

    PubMed  CAS  Google Scholar 

  • Le Quesne LP, Ranger D (1966) Pharyngolaryngectomy with immediate pharyngogastric anastomosis. Br J Surg 53:105–109

    Article  PubMed  Google Scholar 

  • Looser KG, Shah JP, Strong EW (1978) The significance of “positive” margins in surgically resected epidermoid carcinomas. Head Neck Surg 1:107–111

    Article  PubMed  CAS  Google Scholar 

  • Lord IJ, Briant TDR, Rider WD, Bryce DP (1973) A comparison of pre-operative and primary radiotherapy in the treatment of carcinoma of the hypopharynx. Br J Radiol 46:175–179

    Article  PubMed  CAS  Google Scholar 

  • McNab Jones RF (1961) The Paterson-Brown-Kelly syndrome: its relationship to iron deficiency and postcricoid carcinoma. J Laryngol 75:529–544

    Google Scholar 

  • Mikulicz J (1886) Ein fall von resection des carcinomatosen oesophagus mit plastichen ersatz des excidirten Stuckes. Prag Med Wochenschr 11:93–97

    Google Scholar 

  • Murakami Y, Saito S, Ikari T, Haraguchi S, Okada K, Marvyama T (1982) Esophageal reconstruction with a skin-grafted pectoralis major muscle flap. Arch Otolaryngol 108:719–722

    Article  PubMed  CAS  Google Scholar 

  • Nakayama K, Yamamoto Y, Tamiya T, Nakino H (1964) Experience with free autografts of the bowel with a new venous anastomosis apparatus. Surgery 55:796–802

    PubMed  CAS  Google Scholar 

  • Nicks R (1967) Colon replacement of the oesophagus. Br J Surg 54:124–129

    Article  PubMed  CAS  Google Scholar 

  • Ong GB, Lee TC (1960) Pharyngogastric anastomosis after oesophagopharyngectomy for carcinoma of the hypopharynx and cervical oesophagus. Br J Surg 48:193–200

    Article  PubMed  CAS  Google Scholar 

  • Paterson DR (1919) A clinical type of dysphagia. J Laryngol 34:289–291

    Google Scholar 

  • Pearson BW (1966) Radiotherapy of the oesophagus and postcricoid region in South-East Scotland. Clin Radiol 17:242–257

    Article  PubMed  CAS  Google Scholar 

  • Peters CR, McKee DM, Barry BE (1971) Pharyngoesophageal reconstruction with revascularized jejunal transplants. Am J Surg 121:675–678

    Article  PubMed  CAS  Google Scholar 

  • Robertson MS, Robinson JM (1984) Immediate pharyngoesophageal reconstruction. Arch Otolaryngol 110:386–387

    Article  PubMed  CAS  Google Scholar 

  • Seidenberg B, Rosenak S, Hurwitt ES, Som ML (1959) Immediate reconstruction of the cervical oesophagus by a revascularised isolated jejunal segment. Ann Surg 142:162–171

    Article  Google Scholar 

  • Shefts LM, Fischer A (1949) Carcinoma of the cervical esophagus with one stage total esophageal resection and pharyngogastrostomy. Surgery 25:849–867

    PubMed  CAS  Google Scholar 

  • Singer M, Blom E (1980) An endoscopic technique for restoration of voice following laryngectomy. Ann Otol Rhinol Laryngol 90:529–533

    Google Scholar 

  • Stell PM (1973) Cancer of the hypopharynx. J R Coll Surg Edinb 18:20–30

    PubMed  CAS  Google Scholar 

  • Stell PM, Carden EA, Hibbert J, Dalby JE (1978) Postcricoid carcinoma in South-East Scotland. Clin Radiol 17:242–257

    Google Scholar 

  • Stell PM, Ramadan MF, George WD (1982) Postcricoid carcinoma: the place of visceral transposition. Clin Oncol 8:17–20

    PubMed  CAS  Google Scholar 

  • Stell PM, Missotten F, Singh SD, Ramadan F, Morton RP (1983) Mortality after surgery for hypopharyngeal cancer. Br J Surg 70:713–718

    Article  PubMed  CAS  Google Scholar 

  • Sugimachi K, Yaita A, Veo H (1980) A safer and more reliable operative technique for oesophageal reconstruction using a gastric tube. Am J Surg 140:471–476

    Article  PubMed  CAS  Google Scholar 

  • Surkin MI, Lawson W, Biller HF (1984) Analysis of the methods of pharyngoesophageal reconstruction. Head Neck Surg 6:953–970

    Article  PubMed  CAS  Google Scholar 

  • Theile DE, Robinson DW, McCafferty GJ (1986) Pharyngolaryngectomy reconstruction by revascularised free jejunal graft. Aust NZ J Surg 56:849–852

    Article  CAS  Google Scholar 

  • Thomas DM, Langford RM, Russell RCG, Le Quesne LP (1979) The anatomical basis for gastric mobilisation in total oesophagectomy. Br J Surg 66:230–233

    Article  PubMed  CAS  Google Scholar 

  • Trotter W (1932) Malignant disease of the hypopharynx and its treatment by excision. Br Med J i:510–513

    Article  Google Scholar 

  • Ventemiglia R, Khalil KG, Frazer OH, Mountain CF (1977) Role of preoperative mesenteric arteriography in colon interposition. J Thorac Cardiovasc Surg 74:98–110

    PubMed  CAS  Google Scholar 

  • Wei W, Lam KH, Choi S, Wong J (1984) Late problems after pharyngolaryngoesophagectomy and pharyngogastric anastomosis for cancer of the larynx and hyopharynx. Am J Surg 148:509–513

    Article  PubMed  CAS  Google Scholar 

  • Willatt DS, Jackson SR, McCormick MS, Lubsen H, Michaels L, Stell PM (1987) Vocal cord paralysis and tumour length in staging postcricoid carcinoma. Eur J Surg Oncol 13:131–137

    PubMed  CAS  Google Scholar 

  • Wookey H (1948) The surgical treatment of carcinoma of the hypopharynx and the oesophagus. Br J Surg 35:249–266

    Article  PubMed  CAS  Google Scholar 

  • Wynder EL, Hultberg S, Jacobsson F, Bross IJ (1957) Environmental factors in cancer of the upper alimentary tract. Cancer 10:470–487

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Harrison, D.F.N. (1989). Surgical Resection for Postcricoid Carcinoma. In: Hurt, R.L. (eds) Management of Oesophageal Carcinoma. Springer, London. https://doi.org/10.1007/978-1-4471-3153-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3153-3_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3155-7

  • Online ISBN: 978-1-4471-3153-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics